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Professional Billing Analyst
Professional Billing AnalystCrescent City Recruitment Group • Garden City, NY, United States
Professional Billing Analyst

Professional Billing Analyst

Crescent City Recruitment Group • Garden City, NY, United States
[job_card.variable_days_ago]
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  • [job_card.full_time]
[job_card.job_description]

Key Responsibilities :

  • System Configuration and Maintenance :

Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization.

  • Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies.
  • Perform ongoing maintenance and updates to Epic applications.
  • Build and test system changes, presenting them to end-users and migrating them to production.
  • Workflow Analysis and Optimization :

    • Analyze existing financial workflows and identify opportunities for improvement and optimization.

  • Design and implement leading practice workflows to enhance efficiency and effectiveness.
  • Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations.
  • Support and Troubleshooting :

    • Act as the primary support contact for Epic Professional Billing application end-users.

  • Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors.
  • Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement.
  • Provide on-call support on a rotating basis.
  • Training and Education :

    • Participate in training and educate end-users on the Epic Professional Billing application and related workflows.

  • Develop and document internal procedures for using Epic and other applications.
  • Compliance and Updates :

    • Stay current with Epic technologies, obtain and maintain necessary Epic certifications.

  • Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10).
  • Review and assess the impact of changes and enhancements with each new Epic release and make recommendations for the best course of action.

    • Essential skills and qualifications :

  • Education and Certification :

    • Bachelor's Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field.

  • Certified in Epic Professional Billing.
  • Technical Skills :

    • Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.

  • Experience with system configuration and troubleshooting tools.
  • Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint).
  • Healthcare Industry Knowledge :

    • Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures.

  • Familiarity with the differences between professional billing and hospital billing.
  • Knowledge of medical coding systems like CPT and ICD-10.
  • Soft Skills :

    • Strong interpersonal relationship skills and effective communication skills (both oral and written).

  • Analytical thinking and problem-solving abilities.
  • Attention to detail and accuracy.
  • Self-motivated and a team player.
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